Chevron osteotomy is a widely accepted method for correction of symptomatic hallux valgus deformity. Full weight bearing in regular shoes is not recommended before 6 weeks after surgery. Low intensity pulsed ultrasound is known to stimulate bone formation leading to more stable callus and faster bony fusion. We performed a ...

BACKGROUND: Standing balance is impaired in individuals with knee osteoarthritis and is associated with disease severity. The effects of surgical interventions on standing balance have received little attention. The purpose of the present study was to examine measures of balance during tests of single-limb standing before and after medial opening ...

BACKGROUND: In a continuous series of 54 MTP-1 arthrodeses using ball and cup reamers, fusion and great toe position were analyzed. MATERIALS AND METHODS: The population was mainly female (46 versus 8). Mean age at operation was 61 years. Arthrodesis was for four conditions of symptomatic degenerative disease: 36 severe ...

BACKGROUND: Although patients considered "successful" at longer-term follow-up no longer exhibited patellar instability, those with more severe malalignment issues had other, gradually worsening symptoms such as activity-related pain, crepitation, swelling with activities, and pain with weather changes. HYPOTHESIS: Improvement of patellar tracking by correction of the tubercle-sulcus angle and related ...

Distal chevron osteotomy is a procedure widely performed for the surgical treatment of painful hallux valgus. The risks and benefits of a lateral capsular release and adductor tenotomy combined with chevron osteotomy are still debated. The aim of our study was to report the clinical and radiographic outcomes of this ...

BACKGROUND: Radiographic measurements such as those of the hallux valgus angle and the intermetatarsal angle are essential parameters for assessing the severity of hallux valgus deformities and the extent of surgical correction required. However, to our knowledge, no study has investigated the reliability of the measurements that are made radiographically ...

The aim of this study is to evaluate the clinical and radiological outcome of varus derotation osteotomy in Perthes disease. We studied 45 children with a mean age of 9.2 years, belonging to Herring's lateral pillar group B and C treated with varus derotation osteotomy. Containment was achieved in all ...

A 23-year-old male whose medical history included tuberculous spondylitis presented with a kyphotic deformity and incomplete paraplegia of twenty days duration. Preoperative radiographs demonstrated a T12-L4 kyphotic Cobb's angle of 100 degrees with a complete block showing on the lumbar myelogram at L4-5. The patient underwent anterior osteotomy and release. ...

The purpose of this study was to determine the effects of orthopedic procedures performed after skeletal maturity on ambulatory patients with cerebral palsy. Twenty-five patients (46 sides) had pre- and postoperative computerized gait analysis. All patients underwent any one or a combination of the following procedures: hamstring lengthenings, ankle plantar ...

Adverse effects on the soft tissues after Le Fort I osteotomies include: broadening of the alar base, loss of vermilion show of the upper lip and down sloping of the commissures. In theory, an alar cinch suture combined with a muco-musculo-periosteal V-Y closure (ACVY) should improve not only the nasal ...

BACKGROUND: The intention of this study was to analyze the long-term results of the proximal closing wedge osteotomy for the correction of hallux valgus deformity, modified by adding a mini L-plate for osteosynthesis. METHODS: The outcome of a proximal first metatarsal closing wedge osteotomy was retrospectively evaluated after a mean ...

We have reported the radiological and clinical outcome of scarf osteotomy in the treatment of moderate to severe hallux valgus among adolescent children. Data were collected retrospectively between April 2001 and June 2006. The pre- and post-operative intermetatarsal angle (IMA), hallux valgus angle (HVA) and distal metatarsal articular angle (DMAA) ...

The outcome of Perthes' disease in children over 8 years tends to be poor. It is unclear whether any treatment modality alters the natural history. This study compares the results of four treatment modalities for this group of patients. A retrospective review was performed of prospectively collected data for 44 ...

There are many techniques described for treatment of hallux valgus. The role of proximal osteotomies of the 1st metatarsal is well documented. However the opening wedge osteotomy has become less popular in contemporary practice. The purpose of this paper was to report our experience with an opening wedge osteotomy for ...

PURPOSE: To evaluate bone formation between the proximal and distal segments after a sagittal split ramus osteotomy (SSRO) with bent plate fixation. PATIENTS AND METHODS: The subjects were 23 patients (46 sides) who underwent bilateral SSRO setback surgery. They were divided into titanium and absorbable plate groups. A 3 to ...

Arthrodesis of the first metatarsophalangeal (MTP) joint with a low profile fixed angle plate allows for a consistent resultant hallux valgus angle. There is no clear consensus on whether a separate corrective osteotomy of the first metatarsal should be performed in addition to the first metatarsophalangeal joint fusion in patients ...

BACKGROUND: Despite the ability of lateral closed-wedge osteotomy for cubitus varus deformity to restore carrying angle and preserve elbow motion, there have been reports of poor cosmetic appearance of the elbow because of lateral condylar prominence. METHOD: We evaluated long-term results of remodeling of lateral condylar prominence after osteotomy in ...

PURPOSE: To report a series of clinodactyly patients to report clinical and radiographic outcomes after closing wedge osteotomy and K-wire fixation of abnormal middle phalanges. METHODS: Twenty-five fingers from 17 patients were included in the study. All patients had more than 25 degrees of angulation and were treated with closing ...

The purpose of this study was to evaluate our treatment protocol for certain physeal injuries requiring complete epiphysiodesis of an injured physis, angular correction and lengthening with the Ilizarov method and overcorrection of length according to calculated loss of remaining growth. Five patients (age: 12 to 14 years) were operated ...

BACKGROUND: The amount of correction obtained with tibial and/or femoral hemiepiphyseodesis in late-onset tibia vara is quite variable. The purpose of this study is to identify preoperative factors which might help to predict the amount of correction that is obtainable. METHODS: Fifty-three patients (67 knees) have been treated with hemiepiphyseodesis ...

Arthritis treatment in young patients remains a challenge. Joint replacement surgery offers excellent pain relief but is controversial with this age group because of long-term wear and loosening. Recently, biological reconstructive techniques have become available to improve traditional treatment methods such as osteotomies. We present our experience with a technique ...

We reviewed 42 consecutive children with a supination deformity of the forearm complicating severe birth lesions of the brachial plexus. The overall incidence over the study period was 6.9% (48 of 696). It was absent in those in Narakas group I (27.6) and occurred in 5.7% of group II (13 ...

The sliding trochanteric osteotomy preserves vastus lateralis continuity with the osteotomized greater trochanter (GT) and the abductors. The modified trochanteric sliding osteotomy (MTSO) also preserves the posterior capsule and external rotators to reduce the risk of dislocations. The purpose of this study was to evaluate our clinical and radiographic results ...

This article presents the results of Legg-Calve-Perthes (LCP) disease treatment using triple pelvic osteotomy. Thirty patients were analysed. The conditions for inclusion in the study were complete medical documentation and follow-up until the disease was resolved. Postoperatively, no patients were immobilised. Rehabilitation was initiated early in all patients, and full ...

We describe a new method for corrective osteotomy and the fixation of lower limb deformities in children. Following osteotomy, the desired position is obtained and temporarily stabilized using an external fixator. Definitive fixation is performed with a plate and locking screws inserted percutaneously under fluoroscopic guidance. The procedure was performed ...

With the development of craniofacial surgery, today sagittal split mandibular osteotomies are frequently used for the treatment of mandibular deformities with modifications and different fixation techniques. In clinics, 57 patients are evaluated in this study. Of these patients, 35 were male, 22 were female, and their ages were between 17 ...

BACKGROUND: The modified Ludloff proximal first metatarsal osteotomy is indicated for the surgical correction of moderate-to-severe hallux valgus deformity associated with metatarsus primus varus. We report the intermediate-term results of this procedure. METHODS: Ninety-nine patients (111 feet) with a mean age of fifty-six years underwent a modified Ludloff proximal first ...

Metopic synostosis is thought to have an incidence of about 1 in 15,000 births. Traditionally, this makes it the third most frequent single-suture craniosynostosis, after scaphocephaly (1 in 4200-8500) and plagiocephaly (1 in 11,000). Our units have, independently from each other, noted a marked increase in the number of metopic ...

THE AIM OF THE STUDY: The aim of our study was to assess treatment results of angular deformities in distal radius by a system of the locking compression plates (LCP) at our clinic. METHODS: Our source data was collected prospectively from the records of patients where the locking compression plate ...

Mitchell's osteotomy gives very good results but there are still some cases where the original method, as well as its modification, cannot address all aspects of deformity. We modified the original Mitchell's method to address pronation and plantar displacement of the first metatarsal. Modification includes formation of lateral and plantar ...

BACKGROUND: Treatment for severe/relapsing Blount disease is controversial. The purpose of this study is to assess the safety and efficacy of acute medial plateau elevation with concurrent tibial gradual osteotomy. METHODS: This study is a retrospective review of 16 patients (22 limbs) treated by combined plateau elevation and tibial osteotomy ...

BACKGROUND: Reconstructive surgical measures for treatment of posttraumatic deformities of the lateral tibial plateau are seldom reported on in the literature. We report the long-term follow-up results of a consecutive series of reconstructive osteotomies performed to treat depression and valgus malunions of the proximal part of the tibia. METHODS: From ...

Residual deformity in resistant clubfoot is not uncommon. The "bean-shaped foot" exhibits forefoot adduction and midfoot supination and may interfere with function due to poor foot placement. For children less than 5 years of age we describe a corrective procedure combining a closing wedge cuboidal osteotomy and trans-midfoot rotation procedure ...

BACKGROUND: In patients with unicompartmental medial knee arthritis, medial opening wedge high tibial osteotomy is used to shift the mechanical weightbearing line laterally to reduce pain and improve function. There have been concerns that opening wedge high tibial osteotomy is associated with a reduction of patellar height and increase in ...

BACKGROUND: Osteochondral lesions are a common sports-related injury for which osteochondral grafting, including mosaicplasty, is an established treatment. Computer navigation has been gaining popularity in orthopaedic surgery to improve accuracy and precision. HYPOTHESIS: Navigation improves angle and depth matching during harvest and placement of osteochondral grafts compared with conventional freehand ...

Obtaining a correct postoperative limb alignment is an important factor in achieving a successful clinical outcome after an opening-wedge high tibial osteotomy (OWHTO). To better predict some of the aspects that impact upon the clinical outcomes following this procedure, including postoperative correction loss and over correction, we examined the changes ...

We evaluated the clinical outcomes, in terms of early weight bearing, of using opening wedge high tibial osteotomy (OWHTO) to treat spontaneous osteonecrosis of the medial femoral condyle of the knee (SONK) using TomoFix and artificial bone substitute. Damaged cartilage tissue was removed and drilling of the necrotic area followed ...

Leg length discrepancy and angular deformities can, in contrast to adults; easily be corrected with epiphysiodesis during growth. Goal of this study was to evaluate our results of a modified Canale technique for definitive epiphysiodesis treating leg length discrepancy and also angular deformities. Between 2000 and 2007, 22 patients (11 ...

BACKGROUND: From 1994, we have used therapeutic hypothermia in patients with severe traumatic brain injury (Glasgow Coma Scale scores of 5 or less). In 2000, we altered the target temperature to 35 degrees C from the former 33 degrees C, as our findings suggested that cooling to 35 degrees C ...

Postoperative regional anesthesia hastens recovery and reduces the length of hospital stay of orthopedic surgical patients. This study was designed to assess the impact of pre-incisional continuous femoral block on postoperative conditions (POC) of tibial osteotomy and total knee arthroplasty patients. After insertion of a femoral catheter under peripheral nerve ...

A corrective dome osteotomy was performed in 19 adult patients for cubitus varus and valgus deformity. The mean age at operation was 31.1 years and the mean follow-up was 41 months. The average postoperative carrying angle in 16 patients with cubitus varus was 6.1 degrees (range, 1-10 degrees), an average ...

Musculoskeletal disorders specially knee osteoarthritis are the most common causes of morbidity in old patients. Disturbance of the mechanical axis of the lower extremity is one of the most important causes in progression of knee osteoarthritis. The purpose of the present study was to analyze the surgical results of distal ...

Active sports participation can be important in some patients with degenerative joint disease in the lower limb. We investigated whether this is possible after an osteotomy for osteoarthritis of the hip, knee and ankle joints. We performed a literature search using Medline, Cochrane, CINAHL and Google Scholar with no restriction ...

PURPOSE: The purpose of this study was to examine the changes in the chewing rhythm before and after mandibular ramus osteotomy in patients with prognathism with and without asymmetry. PATIENTS AND METHODS: We divided 12 men and 22 women with mandibular prognathism into groups on the basis of symmetry and ...

This study assessed the causes and incidence of miniplate removal during a 5-year period after Le Fort I osteotomy. One hundred forty-two patients had plates inserted for fixation of the maxilla after Le Fort I osteotomy between 2001 and 2004. The Le Fort I segment was rigidly fixed with four ...

Salter's innominate osteotomy may predispose to anterior over-coverage of the acetabulum. Over cover or retroversion has been demonstrated to be a cause of hip pain, impingement and subsequent osteoarthritis. We reviewed the long-term follow up of seventeen skeletally mature hips in sixteen patients who had previously undergone a Salter's osteotomy ...